Showing papers by "University of Zimbabwe published in 2016"

Can sub-Saharan Africa feed itself?

Abstract: Although global food demand is expected to increase 60% by 2050 compared with 2005/2007, the rise will be much greater in sub-Saharan Africa (SSA). Indeed, SSA is the region at greatest food security risk because by 2050 its population will increase 2.5-fold and demand for cereals approximately triple, whereas current levels of cereal consumption already depend on substantial imports. At issue is whether SSA can meet this vast increase in cereal demand without greater reliance on cereal imports or major expansion of agricultural area and associated biodiversity loss and greenhouse gas emissions. Recent studies indicate that the global increase in food demand by 2050 can be met through closing the gap between current farm yield and yield potential on existing cropland. Here, however, we estimate it will not be feasible to meet future SSA cereal demand on existing production area by yield gap closure alone. Our agronomically robust yield gap analysis for 10 countries in SSA using location-specific data and a spatial upscaling approach reveals that, in addition to yield gap closure, other more complex and uncertain components of intensification are also needed, i.e., increasing cropping intensity (the number of crops grown per 12 mo on the same field) and sustainable expansion of irrigated production area. If intensification is not successful and massive cropland land expansion is to be avoided, SSA will depend much more on imports of cereals than it does today.

Use of a Vaginal Ring Containing Dapivirine for HIV-1 Prevention in Women

Abstract: (ed from N Engl J Med 2016; DOI: 10.1056/NEJMoa1506110)The objective of this study was to examine the efficacy of dapivirine vaginal rings in providing protection against human immunodeficiency virus type 1 (HIV-1). HIV-1 infection incidence is one of the highest in sub-Saharan Africa.

Mutually beneficial pollinator diversity and crop yield outcomes in small and large farms

Abstract: Ecological intensification, or the improvement of crop yield through enhancement of biodiversity, may be a sustainable pathway toward greater food supplies. Such sustainable increases may be especially important for the 2 billion people reliant on small farms, many of which are undernourished, yet we know little about the efficacy of this approach. Using a coordinated protocol across regions and crops, we quantify to what degree enhancing pollinator density and richness can improve yields on 344 fields from 33 pollinator-dependent crop systems in small and large farms from Africa, Asia, and Latin America. For fields less than 2 hectares, we found that yield gaps could be closed by a median of 24% through higher flower-visitor density. For larger fields, such benefits only occurred at high flower-visitor richness. Worldwide, our study demonstrates that ecological intensification can create synchronous biodiversity and yield outcomes.

Benefits and Risks of Antiretroviral Therapy for Perinatal HIV Prevention

Abstract: BackgroundRandomized-trial data on the risks and benefits of antiretroviral therapy (ART) as compared with zidovudine and single-dose nevirapine to prevent transmission of the human immunodeficiency virus (HIV) in HIV-infected pregnant women with high CD4 counts are lacking. MethodsWe randomly assigned HIV-infected women at 14 or more weeks of gestation with CD4 counts of at least 350 cells per cubic millimeter to zidovudine and single-dose nevirapine plus a 1-to-2-week postpartum “tail” of tenofovir and emtricitabine (zidovudine alone); zidovudine, lamivudine, and lopinavir–ritonavir (zidovudine-based ART); or tenofovir, emtricitabine, and lopinavir–ritonavir (tenofovir-based ART). The primary outcomes were HIV transmission at 1 week of age in the infant and maternal and infant safety. ResultsThe median CD4 count was 530 cells per cubic millimeter among 3490 primarily black African HIV-infected women enrolled at a median of 26 weeks of gestation (interquartile range, 21 to 30). The rate of transmission w...

Effect of a Primary Care-Based Psychological Intervention on Symptoms of Common Mental Disorders in Zimbabwe: A Randomized Clinical Trial.

Abstract: Importance Depression and anxiety are common mental disorders globally but are rarely recognized or treated in low-income settings. Task-shifting of mental health care to lay health workers (LHWs) might decrease the treatment gap. Objective To evaluate the effectiveness of a culturally adapted psychological intervention for common mental disorders delivered by LHWs in primary care. Design, Setting, and Participants Cluster randomized clinical trial with 6 months’ follow-up conducted from September 1, 2014, to May 25, 2015, in Harare, Zimbabwe. Twenty-four clinics were randomized 1:1 to the intervention or enhanced usual care (control). Participants were clinic attenders 18 years or older who screened positive for common mental disorders on the locally validated Shona Symptom Questionnaire (SSQ-14). Interventions The Friendship Bench intervention comprised 6 sessions of individual problem-solving therapy delivered by trained, supervised LHWs plus an optional 6-session peer support program. The control group received standard care plus information, education, and support on common mental disorders. Main Outcomes and Measures Primary outcome was common mental disorder measured at 6 months as a continuous variable via the SSQ-14 score, with a range of 0 (best) to 14 and a cutpoint of 9. The secondary outcome was depression symptoms measured as a binary variable via the 9-item Patient Health Questionnaire, with a range of 0 (best) to 27 and a cutpoint of 11. Outcomes were analyzed by modified intention-to-treat. Results Among 573 randomized patients (286 in the intervention group and 287 in the control group), 495 (86.4%) were women, median age was 33 years (interquartile range, 27-41 years), 238 (41.7%) were human immunodeficiency virus positive, and 521 (90.9%) completed follow-up at 6 months. Intervention group participants had fewer symptoms than control group participants on the SSQ-14 (3.81; 95% CI, 3.28 to 4.34 vs 8.90; 95% CI, 8.33 to 9.47; adjusted mean difference, −4.86; 95% CI, −5.63 to −4.10; P P P Conclusions and Relevance Among individuals screening positive for common mental disorders in Zimbabwe, LHW-administered, primary care–based problem-solving therapy with education and support compared with standard care plus education and support resulted in improved symptoms at 6 months. Scaled-up primary care integration of this intervention should be evaluated. Trial Registration pactr.org Identifier:PACTR201410000876178

An updated systematic review of epidemiological evidence on hormonal contraceptive methods and HIV acquisition in women.

Abstract: We are grateful to Sharon Achilles for her thoughtful input related to describing potential biological mechanisms, and to all study investigators who provided additional information about their analyses WHO provided support for the writing of this systmatic review and for the writing group to attend a working meeting in Geneva, Switzerland in October 2015 DJW was partially funded by NIH DP2-HD-08-4070 The review was conducted independently of the WHO guidance development process; and conclusions represent the independent opinions of the authors The findings and conclusions in this article do not necessarily reflect the positions and policies of the donor Role of authors: The World Health Organization (JNK and PSS) initiated the idea to conduct this systematic review update CBP led the conduct of the systematic review, including conducting the systematic literature search and drafting the manuscript CBP, KMC, and PCH screened titles, abstracts, and full-text manuscripts to determine study inclusion SJP conducted the statistical meta-analysis All coauthors (CBP, KMC, PCH, SJP, TC, JNK, DJW, and PSS) participated in framing the study question, developing the quality criteria, abstracting study information and assessing study quality, interpreting the data, and contributing to the writing and editing of the manuscript Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official positions of the Guttmacher Institute, the Centers for Disease Control and Prevention, the World Health Organization, the National Institutes of Health, or other institutions with which the authors are affiliated

An Empiric HIV Risk Scoring Tool to Predict HIV-1 Acquisition in African Women.

Abstract: Objective:To develop and validate an HIV risk assessment tool to predict HIV acquisition among African women.Design:Data were analyzed from 3 randomized trials of biomedical HIV prevention interventions among African women (VOICE, HPTN 035, and FEM-PrEP).Methods:We implemented standard methods for t

Potential uses and value-added products derived from waste polystyrene in developing countries: A review

Abstract: Uses of polystyrene include industrial, packaging and household applications. However, waste polystyrene (WPS) poses serious environmental risks especially in developing countries where disposal facilities are lacking. Information on WPS disposal in these countries is limited. This review therefore (1) presents an overview of the production, uses and current disposal practices for WPS, (2) identifies potential uses of WPS in developing value-added products, and (3) highlights research gaps and proposes future research. In developed countries, WPS is converted into paints, adhesives and flocculants, yet no such documented cases exist in sub-Saharan Africa (SSA). WPS is often disposed of in waste dumps and subsequently burnt, thereby causing air pollution. The review identified several uses of WPS. In SSA, it has been used to control vector-borne diseases like malaria. Potential applications include developing ion-exchange resins for remediation of contaminated water.

Strategic management of livestock to improve biodiversity conservation in African savannahs: a conceptual basis for wildlife-livestock coexistence

Abstract: Summary 1. African savannas are complex socio-ecological systems with diverse wild and domestic herbivore assemblages, which adapt spatially to intra- and interannual variation in forage quantity and quality, predation and disease risks. 2. As African savannas become increasingly fragmented by growing human populations and their associated ecological impacts, adaptive foraging options for wild and domestic herbivore populations are correspondingly limited, resulting in declining wildlife populations and impoverished pastoral societies. In addition, competition for grazing by expanding domestic herbivore populations threatens the viability of wild herbivore populations occupying similar grazing niches. 3. Conservation initiatives are further impacted by conflicts between wildlife and local communities of people who often receive little benefit from adjacent protected areas, creating conflict between the livelihood-orientated goals of communities and the conservation-oriented goals of the international community and those with vested interests in wildlife. Conservation strategies facilitating the alignment of these opposing goals of communities and conservationists are needed. 4. Synthesis and applications. Key to understanding facilitative and competitive interactions between wild and domestic herbivores are the concepts of niche differentiation and functional resource heterogeneity. Uncontrolled incursions of burgeoning domestic herbivore populations into protected areas (PAs) threaten the conservation of wild herbivore biodiversity. However, domestic herbivores can be managed to minimize competition with wild herbivores and to enhance habitat by maximizing grassland structural heterogeneity (greater adaptive foraging options), creation of nutrient hotspots in the landscape and facilitation of high-quality grazing. Ecosystem service benefits to communities through controlled access to grazing resources in PAs, associated with appropriate disease management, can provide a conservation payment to promote communities’ support of conservation of key wildlife migratory ranges and corridors outside PAs.

Biosorbents for the removal of synthetic organics and emerging pollutants: Opportunities and challenges for developing countries

Abstract: Contamination of aquatic systems by synthetic organic contaminants and emerging pollutants poses significant public and environmental health risks in developing countries. These contaminants mainly originate from textile, agrochemical, and pharmaceutical industries. The removal of such contaminants is problematic in developing countries because advanced water treatment methods are still lacking in developing countries due to their high costs. The application of biosorption for removal of organic contaminants in developing countries is attractive for three reasons; (1) large quantities of biomaterials for use as biosorbents are readily available; (2) lack of advanced water and wastewater treatment systems for removal of organic contaminants; and (3) the technology is relatively cheap compared to advanced methods (e.g. membrane filtration) often used in developed countries. Overall, this has the potential to remove organic contaminants from aqueous systems while simultaneously reducing the public health and environmental impacts associated with the disposal of such biowastes. However, large-scale application of biosorption faces potential challenges including lack of funding, poor mechanical properties of biosorbants, complex adsorption mechanisms involved, and poor regeneration capacity. In addition, spent biosorbents present an environmental risk and their disposal is problematic due to the potential of contaminating surface and ground water. Possible disposal methods for spent biosorbent include use as a filler in road surfacing, as a soil amendment, and in phytoremediation cells where the organics are absorbed and broken down by plants. Overall, biosorption is a potentially viable alternative, but further research on its ability to remove pollutants from multi-component systems, its regeneration capacity, and plant design parameters is required before the benefits of the technology are realised in developing countries.

Conservation of indigenous cattle genetic resources in Southern Africa's smallholder areas: turning threats into opportunities - A review.

Abstract: The current review focuses on characterization and conservation efforts vital for the development of breeding programmes for indigenous beef cattle genetic resources in Southern Africa. Indigenous African cattle breeds were identified and characterized using information from refereed journals, conference papers and research reports. Results of this current review reviewed that smallholder beef cattle production in Southern Africa is extensive and dominated by indigenous beef cattle strains adaptable to the local environment. The breeds include Nguni, Mashona, Tuli, Malawi Zebu, Bovino de Tete, Angoni, Landim, Barotse, Twsana and Ankole. These breeds have important functions ranging from provision of food and income to socio-economic, cultural and ecological roles. They also have adaptive traits ranging from drought tolerant, resistance to ticks and tick borne diseases, heat tolerance and resistance to trypanosomosis. Stakeholders in the conservation of beef cattle were also identified and they included farmers, national government, research institutes and universities as well as breeding companies and societies in Southern Africa. Research efforts made to evaluate threats and opportunities of indigenous beef cattle production systems, assess the contribution of indigenous cattle to household food security and income, genetically and phenotypically characterize and conserve indigenous breeds, and develop breeding programs for smallholder beef production are highlighted. Although smallholder beef cattle production in the smallholder farming systems contributes substantially to household food security and income, their productivity is hindered by several constraints that include high prevalence of diseases and parasites, limited feed availability and poor marketing. The majority of the African cattle populations remain largely uncharacterized although most of the indigenous cattle breeds have been identified.

Ecological Intensification: Local Innovation to Address Global Challenges

Abstract: The debate on future global food security is centered on increasing yields. This focus on availability of food is overshadowing access and utilization of food, and the stability of these over time. In addition, pleas for increasing yields across the board overlook the diversity of current positions and contexts in which local agriculture functions. And finally, the actual model of production is based on mainstream agricultural models in industrialized societies, in which ecological diversity and benefits from nature have been ignored or replaced by external inputs. The dependence upon external inputs should exacerbate the negative impacts on the environment and on social equity. Strategies to address future global food security thus require local innovation to increase agricultural production in a sustainable, affordable way in the poorest regions of the world, and to reduce the environmental impact of agriculture and its dependence on non-renewable resources. Ecological intensification, the smart use of biodiversity-mediated ecosystem functions to support agricultural production, is portrayed as the most promising avenue to achieve these goals.

Effect of Solvent Type on Total Phenolic Content and Free Radical Scavenging Activity of Black Tea and Herbal Infusions

Abstract: The objective of the study was to determine and compare the effect of several solvents namely hot water, 50 % methanol, ethanol, 50 % ethanol, acetone, 50 % acetone and ethyl acetate on phenolic composition and free radical scavenging activity in black tea and selected herbal infusions from Zimbabwe and Brazil. For the black tea, made from Camellia sinensis, Quickbrew™ was used. Zimbabwean herbal infusions used were Lippia javanica and Ficus sycamore while those from Brazil were Syzygium jambolanum, Cuphea carthagenensis and Ilex paraguariensis. Total phenolic content and free radical scavenging activity were determined using Folin-Ciocalteu and 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay, respectively. IC50 values for each solvent were calculated and used to interpret radical scavenging activity. Aqueous organic solvents extracted higher quantities of phenolic compounds than in their absolute organic nature. Acetone (50 %) extracted a higher total phenolic content (TPC) in C. sinensis, L. javanica and I. paraguariensis. Hot water extracted the highest TPC in F. sycamore and S. jambolanum while 50 % ethanol was highest in C. carthagenensis. Free radical scavenging activity (FRSA) was not necessarily in the same order as TPC, indicating that high TPC does not always mean high FRSA and vice versa. The highest FRSA for S. jambolanum and C. carthagenensis extracts was in 50 % ethanol, F. sycamore in 50 % methanol, and I. paraguariensis, C. sinensis and L. javanica extracts in 50 % acetone. Ethyl acetate recorded the lowest TPC and FRSA in all plant samples analysed. Generally, solvent used affected TPC and free radical scavenging activity. Organic solvents may need to be separated from phenolics after extraction, as some of them namely acetone, methanol and ethyl acetate can be toxic to humans. Water and ethanol are the least toxic solvents which may need no further separation from extracts.

Building on indigenous knowledge to strengthen the capacity of smallholder farming communities to adapt to climate change and variability in southern Africa

Abstract: A study was conducted in Makoni and Hwedza smallholder farming areas in eastern Zimbabwe to investigate local perceptions of the impacts of climate change and variability, and how indigenous knowledge may enable farmers to construct appropriate responses to these impacts and make key agricultural decisions The study revealed evidence of increased climate variability and heightening vulnerability in farming systems Rainfall seasons have shortened by up to four weeks, impacting on food sources and ecosystem services, and increasing pressure on women and children as traditional roles change Communities depended primarily on indigenous knowledge and local biological and geographical indicators of seasonal forecasts in making major strategic, tactical and operational decisions on crop production, including management of food stocks and social safety nets In providing climate and technical production information, researchers and development practitioners will therefore need to fit in with farmers’ local dec

Charcoal production in the Mopane woodlands of Mozambique: what are the trade-offs with other ecosystem services?

Abstract: African woodlands form a major part of the tropical grassy biome and support the livelihoods of millions of rural and urban people. Charcoal production in particular is a major economic activity, but its impact on other ecosystem services is little studied. To address this, our study collected biophysical and social datasets, which were combined in ecological production functions, to assess ecosystem service provision and its change under different charcoal production scenarios in Gaza Province, southern Mozambique. We found that villages with longer histories of charcoal production had experienced declines in wood suitable for charcoal, firewood and construction, and tended to have lower perceived availabilities of these services. Scenarios of future charcoal impacts indicated that firewood and woody construction services were likely to trade-off with charcoal production. However, even under the most extreme charcoal scenario, these services were not completely lost. Other provisioning services, such as wild food, medicinal plants and grass, were largely unaffected by charcoal production. To reduce the future impacts of charcoal production, producers must avoid increased intensification of charcoal extraction by avoiding the expansion of species and sizes of trees used for charcoal production. This is a major challenge to land managers and policymakers in the area.This article is part of the themed issue 'Tropical grassy biomes: linking ecology, human use and conservation'.

'Opening up the mind': Problem-solving therapy delivered by female lay health workers to improve access to evidence-based care for depression and other common mental disorders through the Friendship Bench Project in Zimbabwe

Abstract: There are few accounts of evidence-based interventions for depression and other common mental disorders (CMDs) in primary care in low-income countries. The Friendship Bench Project is a collaborative care mental health intervention in primary care in Harare for CMDs which began as a pilot in 2006. We employed a mixture of quantitative and qualitative approaches to investigate the project’s acceptability and implementation, 4–8 years after the initial pilot study. We carried out basic descriptive analyses of routine data on attendance collected between 2010 and 2014. We also conducted five focus group discussions (FGDs) with LHWs in 2013 and 12 in-depth interviews, six with staff and six with patients, to explore experiences of the intervention, which we analysed using grounded theory. Results show that the intervention appears highly acceptable as evidenced by a consistent number of visits between 2010 and 2014 (mean 505 per year, SD 132); by the finding that the same team of female community LHWs employed as government health promoters continue to deliver assessment and problem-solving therapy, and the perceived positive benefits expressed by those interviewed. Clients described feeling ‘relieved and relaxed’ after therapy, and having their ‘mind opened’, and LHWs describing satisfaction from being agents of change. Characteristics of the LHWs (status in the community, maturity, trustworthiness), and of the intervention (use of locally validated symptom screen, perceived relevance of problem-solving therapy) and continuity of the LHW team appeared crucial. Challenges to implementation included the LHWs ongoing need for weekly supervision despite years of experience; the supervisors need for supervision for herself; training needs in managing suicidal and hostile clients; poor documentation; lack of follow-up of depressed clients; and poor access to antidepressants. This case study shows that a collaborative care intervention for CMDs is positively received by patients, rewarding for LHWs to deliver, and can be sustained over time at low cost. Next steps include evaluation of the impact of the intervention through a randomised trial, and testing of a technological platform for supporting supervision and monitoring clients’ attendance.

Antibacterial Properties of Alkaloid Extracts from Callistemon citrinus and Vernonia adoensis against Staphylococcus aureus and Pseudomonas aeruginosa.

Abstract: The development of new antibiotics from new chemical entities is becoming more and more expensive, time-consuming, and compounded by emerging strains that are drug resistant. Alkaloids are plant secondary metabolites which have been shown to have potent pharmacological activities. The effect of alkaloids from Callistemon citrinus and Vernonia adoensis leaves on bacterial growth and efflux pump activity was evaluated on Staphylococcus aureus and Pseudomonas aeruginosa. At a concentration of 1.67 mg/mL, the alkaloids inhibited bacterial growth with comparable effects to ampicillin, a standard antibiotic. The alkaloids from C. citrinus were the most potent against S. aureus with an MIC of 0.0025 mg/mL and MBC of 0.835 mg/mL. It was shown that effects on P. aeruginosa by both plant alkaloids were bacteriostatic. P. aeruginosa was most susceptible to drug efflux pump inhibition by C. citrinus alkaloids which caused an accumulation of Rhodamine 6G of 121% compared to the control. Thus, C. citrinus alkaloids showed antibacterial activity as well as inhibiting ATP-dependent transport of compounds across the cell membrane. These alkaloids may serve as potential courses of compounds that can act as lead compounds for the development of plant-based antibacterials and/or their adjunct compounds.

Be Careful Where You Smile: Culture Shapes Judgments of Intelligence and Honesty of Smiling Individuals

Abstract: Smiling individuals are usually perceived more favorably than non-smiling ones—they are judged as happier, more attractive, competent, and friendly. These seemingly clear and obvious consequences of smiling are assumed to be culturally universal, however most of the psychological research is carried out in WEIRD societies (Western, Educated, Industrialized, Rich, and Democratic) and the influence of culture on social perception of nonverbal behavior is still understudied. Here we show that a smiling individual may be judged as less intelligent than the same non-smiling individual in cultures low on the GLOBE’s uncertainty avoidance dimension. Furthermore, we show that corruption at the societal level may undermine the prosocial perception of smiling—in societies with high corruption indicators, trust toward smiling individuals is reduced. This research fosters understanding of the cultural framework surrounding nonverbal communication processes and reveals that in some cultures smiling may lead to negative attributions.

Inflammation and Change in Body Weight with Antiretroviral Therapy Initiation in a Multinational Cohort of HIV-infected Adults

Abstract: Background. Both wasting and obesity are associated with inflammation, but the extent to which body weight changes influence inflammation during human immunodeficiency virus infection is unknown. Methods. Among a random virologically suppressed participants of the Prospective Evaluation of Antiretrovirals in Resource- Limited Settings trial, inflammatory markers were measured at weeks 0, 24, and 48 after antiretroviral therapy (ART) initiation. Associations between both baseline and change in body mass index (BMI; calculated as the weight in kilograms divided by the height in meters squared) and changes in inflammation markers were assessed using random effects models. Results. Of 246 participants, 27% were overweight/obese (BMI, ≥ 25), and 8% were underweight (BMI < 18.5) at baseline. After 48 weeks, 37% were overweight/obese, and 3% were underweight. While level of many inflammatory markers decreased 48 weeks after ART initiation in the overall group, the decrease in C-reactive protein (CRP) level was smaller in overweight/obese participants (P = .01), and the decreases in both CRP (P = .01) and interleukin 18 (P = .02) levels were smaller in underweight participants. Each 1-unit gain in BMI among overweight/obese participants was associated with a 0.02-log10 increase in soluble CD14 level (P = .05), while each 1-unit BMI gain among underweight participants was associated with a 9.32-mg/L decrease in CRP level (P = .001). Conclusions. Being either overweight or underweight at ART initiation was associated with heightened systemic inflammation. While weight gain among overweight/obese persons predicted increased inflammation, weight gain among underweight persons predicted reduced inflammation.